Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $1,621.81 / $5,623.41	Facility		$151.36	$1,621.81	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $134.90 / $251.19	Professional		$50.12	$134.90	$251.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $1,202.26 / $1,548.82	Facility		$295.12	$1,202.26	$1,548.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $107.15 / $295.12	Professional		$61.66	$107.15	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $144.54 / $269.15	Professional		$57.54	$144.54	$269.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $218.78 / $416.87	Professional		$72.44	$218.78	$416.87
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $64.57 / $199.53	Professional		$60.26	$64.57	$199.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $2,187.76 / $4,570.88	Facility		$831.76	$2,187.76	$4,570.88
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $131.83 / $251.19	Professional		$57.54	$131.83	$251.19